| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,379 |
1,338 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
376 |
361 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$4K |
| 99051 |
|
72 |
70 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
21 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
91 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 0071A |
|
21 |
21 |
$792.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$499.59 |
| 90686 |
|
100 |
100 |
$394.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$349.72 |
| 87428 |
|
13 |
13 |
$303.82 |
| 99177 |
|
70 |
70 |
$132.15 |
| 96127 |
|
101 |
101 |
$130.24 |
| 96160 |
|
101 |
101 |
$113.33 |
| 92551 |
|
108 |
108 |
$94.58 |
| G9920 |
Screening performed and negative |
75 |
75 |
$0.00 |
| 90661 |
|
45 |
45 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
34 |
33 |
$0.00 |